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l 4 L <br /> ENVIRONMENTAL NEALTN OIVIfi011 <br /> UNDERGROUND STORAGE TANK PROGRAM - FEF WORKS Et <br /> '(LITT SITE NAME fACILItfMTACt NAME <br /> L', L.r Eco ' �'Lac �L Niq E?<<r�. uJEA�t — <br /> FACILITY ADDRESS ITE PHONE S with AREA CODE <br /> I CI STATE ZIP C. S of TANKS <br /> at SITE <br /> APPLICANT CONTACT NAME <br /> A APPLICANF/BILLING NAME , <br /> P <br /> t `:r:C.c. To/\ �6>(-Y\Gc� `>t� TT6 A1 �t�ffcS <br /> c !WI/LNG,.�pp$E�g� .-,v }i APPLICANT �E`WI1N�Rf\�A S <br /> N CI(Y SPATE ZIP COD! iYPF of APPLIGTION <br /> ( � _:iZ�����o�•\ 530/ closLmF, INSTALLATidI, Rt�{u L:�tl�L _ <br /> ----- -------- ----- rout-- <br /> - <br /> A <br /> C .. 1986 1987 1988 1989 1990 <br /> r ANNUAL FACILITY FEE (Prior to January 1, 1991) • 5100.00 <br /> I $ <br /> E TANK FEE • $50.00/TANK (prior to Jenuery 1,1991) $170/TANK (after January 1, 1991) <br /> F N TarJltm+ --^ 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 <br /> A ( ltfply Y by fee for <br /> C each year enol lceblel 5 <br /> I <br /> L STATE SURCHARGE • $56.00 each LANK (Due every 5 years) Sae Callfornls N 5 S Code, Section 25287 <br /> I <br /> 1 e Tanks x $56.00 1986 through 1990 1991 through 1996 <br /> T (enter wwr—lt end Veer) S <br /> TPERNANE NT CLOSURE (Pemval or Authorized Closure-In-Placa) TANK I.D. #(a) <br /> — <br /> C <br /> t CLOSURE FEE 553.00 per hour (3 hours minlmse per TANK) S TANK(s) K !159.00 • f tS OD <br /> G — <br /> BnNKOF STOG1{T90- <br /> <br /> • <br /> �I�I•�T fTOCHTON�cfLlwoP rvll. 5 —..... <br /> WLIFORMIA�CONTRACTOa LICENSE TBGI03 C-61,0l1 2 8599 <br /> —•— <br /> Nw-B30 ry.UNICN ST..BTOCKTON• CAL�P� Bs303 <br /> p,0, ISO%SYB 9TOCKTWr CALIF. 9 3301-0 008 <br /> PNONQ {BB/N40]l] <br /> PAYC/n � �Ian �CFP ; � 1 tJIF• !o — ----- <br /> 11r ;tHC I <br /> r' <br /> TOTNB <br /> "DER OF STOCKTON SERVICE STATION EQUIP.CO., <br /> f� -CxI <br /> ---urry —USE,0111... . ................... <br /> . •..rr .wwN'N w••iw•N:w:•iw xNw.ir.n.Fw(wiw"" ••••......•._•••• <br /> ..rw • www•w•iiTAiiiriI'iww i <br /> ••NAM•I(r1iEIYAMi(w(IYw IYI'Iy in ri IRS. lY{IliiO ' <br /> irIIM•Y T�rA <br /> . SxIEtS� r�elln���r ��It�� �r L � �fh'tlr'"/1C�rS"IC" 11�2E`r�E1f"d7' "Vxffr!01r€t'�'fbtH"°' e <br /> e......................... ... .•w•:w........... . ........... .... .... .... NeYNe ■r ..... . <br /> B..w.••rN rlr..n.wwr6lw iw NN wwiww-L a•iiw wi8ii3www$••" iii ITiiF_ _• Eii'Ai(II'YtYN Giiw wY Willwif lTi Ri�Y,•.•t .• iAYGiAT,'��w+rik':we:i+:+y <br /> u,nwesr=s+nw nl:ur aver vox xaxnw•ar n:ar mrsrsesreretrrrr rw ww rrrrwwrrrrwwrrrAil Awrersrywrs:eroBaKlel <br /> IN 21 n3' (REV 1/10/911 It Peat 11 <br />